Division Director of Ambulatory Clinical Quality

Provides divisional support and leadership for all government payor initiatives including, but not limited to, the Medicare Access and Children’s Health Insurance Program Reauthorization Act (MACRA), the Merit Based Incentive Payment System (MIPS), and as applicable advanced alternative payment models such as Accountable Care Organizations (ACOs) and Comprehensive Primary Care Plus (CPC)+. This will encompass providing oversight for the quality of care being provided by approximately 5,500+ providers in 1,100+ practice locations (unique divisions range from approximately 35 to 140 practice locations and 160 to 830 providers and may increase as acquisitions occur).

This position is incentive eligible.

Do you have the career opportunities you want with your current employer?  We have an exciting opportunity for you to join MountainStar Healthcare which is part of the nation's leading provider of healthcare services, HCA Healthcare.

The Division Director of Ambulatory Clinical Quality will serve as the lead subject matter expert for clinical quality and risk for all ambulatory locations and providers for HCA Physician Services in the Mountain and Far West Divisions. This will encompass providing oversight for the quality of care being provided by approximately 5,500+ providers in 1,100+ practice locations (unique divisions range from approximately 35 to 140 practice locations and 160 to 830 providers and may increase as acquisitions occur).

The Division Director of Ambulatory Quality is responsible for leading a robust clinical quality, risk, government payor initiatives program, and performance improvement activity agenda that will span across all specialty service lines. The Division Director of Ambulatory Clinical Quality will collaborate very closely with operational leadership in order to achieve the clinical outcomes that support HCAs mission and vision.

The Division Director of Ambulatory Clinical Quality role is based in Salt Lake City, Utah with some travel across the divisions which includes Utah, Idaho, California, Nevada and Alaska and to headquarters in Brentwood, TN as needed.  Estimated travel in role is 20%.

DUTIES INCLUDE BUT NOT LIMITED TO:

• Provides strategic leadership to the clinical quality, risk and performance improvement agenda within the assigned division.
• Develops, in collaboration with the division operational leadership, a customized quality agenda specific to the market driven needs of the assigned division.
• Directs efforts to ensure effective clinical quality program and performance improvement implementation throughout the assigned Division(s). Provides guidance to HCA Physician Services employees/management in complying with the requirements and intentions of the program.
• Provides leadership to drive work for clinical improvement and service enhancement. Supports practices in preparation of meaningful reports to the HCA Physician Services Quality Committee, Division Leadership, Physician Governance Councils, and HCA Physician Services Vice Presidents.
• Acts as a support for HCA Physician Services Quality Improvement and Patient Safety initiatives, as directed. Prepares and submits minutes from all meetings; as directed.
• In coordination with the Clinical Services Group (CSG), develops and implements programs, initiatives, and improvement strategies to ensure consistency in compliance with applicable laws, regulations, and other governmental requirements. Ensures that required state/federal reporting is completed in a timely manner.
• Monitors and communicates with Operations regarding quality improvement trends. Assists in preparations of metric reports and development of meaningful improvement plans. Participates in Quality Monthly and Quarterly Operating Reviews.
• Facilitates effective communication with Physician Services and CSG leadership regarding key clinical performance improvement activities and initiatives.
• Responsible for facilitating investigation, required reporting, and corrective action development for serious quality or risk issues within the division as requested by Division Vice President and Group Vice President. Accesses company resources as appropriate. Facilitates completion of Root Cause Analysis.
• Maintains awareness of regulations, keeping abreast of pending and or implemented changes. Develops communication tools to alert Divisions.
• Participates in development of Division Quality Strategic Planning that takes into consideration local market dynamics.
• Maintains current competency with all current Quality Program initiatives.
• Provides practice assessments and identifies deficiencies as applicable, develops in collaboration with operations any needed corrective action plans, and assists in the management of the action plan to completion.
• Submits meaningful reports to the AVP outlining the Division’s performance on quality initatives and provides action plan for any initiative not being met.
• Provides education to employees and Medical Staff and supports ongoing education related to Quality Program initiatives.
• Meets regularly with Practice Managers and encourages shared learning.
• Provides divisional support and leadership for all government payor initiatives including, but not limited to, the Medicare Access and Children’s Health Insurance Program Reauthorization Act (MACRA), the Merit Based Incentive Payment System (MIPS), and as applicable advanced alternative payment models such as Accountable Care Organizations (ACOs) and Comprehensive Primary Care Plus (CPC)+.
• Reviews complaints, concerns, or questions relative to quality issues, and provide consultative leadership and support to practices and Division personnel as appropriate and as directed by Division Vice President and Group Vice President.
• Maintains the strictest confidentiality in the areas of patient, employee and physician relations.

EDUCATION & EXPERIENCE:

• Bachelor’s Degree required, Master’s Degree highly preferred
• 3-7 years relevant experience required.
• Active RN license as required by state of employment

Benefits

MountainStar Healthcare, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

Physician Services Group is skilled in physician employment, practice and urgent care operations. We are experts in hospitalist integration, and graduate medical education. We lead more than 1,300 physician practices and 170+ urgent care centers. We are HCA Healthcare's graduate medical education leader. We provide direction for over 260 exceptional resident and fellowship programs. We focus on carrying out value-added solutions. These solutions help physicians deliver patient-centered healthcare. We support HCA Healthcare's commitment to the care and improvement of human life.

HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Division Director of Ambulatory Clinical Quality opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.